Cleaning Your Kids Ears: Are Q-Tips Safe?

A friend once told me with great disdain, while watching me wiggle a cotton swab deep in my ear canal with great satisfaction, “I never use Q-tips to clean out my ears.” Apparently a little girl with Q-tipdoctor once told him never to put anything smaller than his elbow into his ear, and he took these words as gospel.

Do you ever have the feeling when someone tells you some great truth, a law of the universe that you’ve been breaking for years in ignorance, that it’s remarkable that you have survived this long, having missed out on some basic manual on life along the way? I often wonder if the parents in my practice feel this way as I spout my wisdom on general health issues, and they look chagrined at having broken the rules with their child. The good news is, it’s hard to break your child. ..especially with things like the management of ear wax.

So what are the rules of proper ear hygiene? Though I think that my friend’s doctor was a bit dramatic, I do agree that for the most part, cotton swabs do more harm than good for children’s ears.

Here’s the lowdown.

Ear wax (otherwise known as cerumen) is icky, and sometimes smells quite foul, but it actually serves several important functions. It is created in the outer half of the ear canal, where it serves to lubricate the skin of the ear canal, and prevents flaking and itching. It also has antibacterial properties and protects the skin of the ear from infections like otitis externa, commonly known as swimmer’s ear.

Ear wax almost always comes out of the ear on its own accord. There are small hairs, called cilia, lining the outer half of the ear canal which act as a conveyor belt, pushing the old wax out as the new wax is formed. And so under most circumstances, ears clean themselves.

What is the harm of a little friendly assistance? There are several potential problems caused by good intentions. Often, especially in children’s small ear canals, using a cotton swab actually pushes the wax deeper into the canal, to the far recesses where there are no hairs to help remove it. In children who make a thick, moist wax, their ears often become so clogged with wax that their hearing becomes dulled, which can impact speech development in younger kids and learning and behavior in older kids.

And then there are those over-eager toddlers who wiggle a little too hard and deep and puncture their eardrum. This common injury usually heals very well, but sometimes the tiny bones that are essential for proper hearing are damaged or the membrane fails to heal and an innocent cleaning exercise can have profound impact on the life of a child.

In the end, though I was chagrined myself when I first heard this advice, I too now recommend avoiding q-tips or cotton-tipped swabs for ear hygiene.

Tips for Parents:

  • The secret to clean ears is to use a wash cloth only on the outer, visible part of the ear to clean the wax as it naturally comes out. Internal cleaning is not necessary, and may be harmful.
  • If you are concerned about your child’s hearing, visit your doctor to see if they have ears plugged with wax.
  • Never allow your children to play with cotton swabs or place anything else (carrots included) in their ears.
  • Itchy ears are often caused by over-zealous cleaning habits. A few drops of mineral oil can help soothe them while you wait for the ear’s natural lubricant to return.
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About the Author

Dr. Kim is a pediatrician and blogger in San Francisco. She writes about child health, parenting, and doctoring children at www.drkimmd.com. She believes that the joys of parenting should outweigh the worries. Dr Kim is a member of the PedSafe Expert team

Comments

5 Responses to “Cleaning Your Kids Ears: Are Q-Tips Safe?”

  1. Nichol says:

    Qtips scare me and I never put them in my child’s ear. I’ve accidentally gone in to far on my own ears and I know the pain that causes. I would never want that for my child.
    .-= Nichol´s last blog ..Entry Way Remodeled! So Proud Of Ourselves!! =-.

  2. Stephanie J says:

    Thanks for the article. I have always wondered about this.

  3. Michele says:

    Thank you for this informative article. My husband and I are religious about cleaning our son’s ears and I’ve always wondered if that is the right thing to do.
    .-= Michele´s last blog ..What if you could read what your parents were thinking? =-.

  4. I was told my ears clean themselves. I had itchy ears for the last 15

    years. I have seen several Doctors for what I thought were ear infections,

    the doctors kept claiming I was fine and labeled me as a Hypochondriac.

    I even asked them if I could get ear infections from living in a Moldy

    house as my house was infested with mold. They said no. They didn’t even

    tell me a moldy house could be bad for my health. I moved out of the moldy

    house in 2005 as I found out from the internet, MOLD CAN KILL YOU. Seen

    several doctors since asking for antibiotics for infections. It got to

    the point doctors would not even look in my ears and told me they were

    fine.

    Well I finally bought a camera otoscope on Ebay to look in my own

    ears. They looked nasty. Black moldy wax filled both ears. I bought a ear

    cleaning kit with syringe and flushed out both ears, while checking with

    camera Otoscope. The scope camera came from Japan and even had a ear

    cleaning pic on it. I guess the Japanese know more about ear cleaning then

    Americans. I canceled my medicare health insurance as at this pont I

    would rather die then go to a doctor. They are insane.

    To see pictures go to my website. Click Religion, then Ear Cleaning.

    GoTimothy

  5. Wax Vac says:

    Thanks for posting. There may be many problems when you try to clean out a small child’s ear canals, especially with cotton swabs.

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